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           <h4>Black Masterbatch requirements</h4>
          
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           <form id="form1" name="form1" action="black.php" method="post">
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    <td width="56%" align="right">Carbon black content %:</td>
    <td width="44%"><input type="text" name="txt_carbonContent" id="txt_carbonContent" /></td>
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    <td align="right">Carbon black particle size:</td>
    <td><input type="text" name="txt_particleSize" id="txt_particleSize" /></td>
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    <td align="right">Filler to be included? What type?</td>
    <td><input type="text" name="txt_filler" id="txt_filler" /></td>
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    <td align="right">Carrier system needed:</td>
    <td><input type="text" name="txt_carrier" id="txt_carrier" /></td>
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    <td align="right">Final application (film, Injection moulding, etc):</td>
    <td><input type="text" name="txt_finalApp" id="txt_finalApp" /></td>
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    <td align="right">Technical requirements: add QC details:</td>
    <td><input type="text" name="txt_techRequirement" id="txt_techRequirement" /></td>
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    <td align="right">QC requirements (dispersion, process, etc):</td>
    <td><input type="text" name="txt_qcRequirement" id="txt_qcRequirement" /></td>
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    <td align="right">Food contact requirements:</td>
    <td><input type="text" name="txt_contactRequirement" id="txt_contactRequirement" /></td>
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    <td align="right">MFI of polymer to be used in:</td>
    <td><input type="text" name="txt_ploymerMFI" id="txt_ploymerMFI" /></td>
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    <td align="right">Customer resin being used to mould the product:</td>
    <td><input type="text" name="txt_customerResin" id="txt_customerResin" /></td>
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